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Modern Approach to Benign Esophageal Disease
Diagnosis and Surgical Therapy
The burgeoning interest in benign esophageal disease has developed due to several contributing factors: the emergence of focused interest in an ever-expanding knowledge base of general surgery, the availability of modern technology that allows testing of foregut function in an ambulatory office setting, and the reduced morbidity and greater patient acceptance of surgical therapy through limited access technology. The result of this interest has been the development of a new brand of modern surgeon characterized as having a disease focus as opposed to a focus on procedure. These new surgeons understand and are skilled in the diagnosis of disease by the measurement of altered organ function rather than by the presence of an anatomical lesion. They apply surgical therapy to improve the function of an organ by altering its structure or the arrangement of its moving parts rather than extirpation of the organ. Being talented open surgeons, they have become adept in the use of the new tools of limited access surgery.